超声引导下微创经皮肾镜术治疗儿童上尿路结石

Ultrasound-guided minimally invasive percutaneous nephrolithotomy in treating upper urinary tract calculi of children

目的:了解与评估微创经皮肾镜取石术治疗儿童上尿路结石的疗效。方法:38例被确诊为上尿路结石患儿在我科行微创经皮肾镜取石术,患儿均取俯卧位,在B超引导下建立工作通道,用钬激光碎石。结果:38例均一期成功建立工作通道,均为单通道,33例取净结石,结石清除率约为86.84%,手术时间35～120min,平均70min,所有患儿均未输血,且无严重并发症。结论:B超引导下微创经皮肾镜治疗儿童上尿路结石具有安全有效、创伤少、结石清除率高、术后恢复快等优点。

objective： To evaluate the clinical efficacy of ultrasound-guided minimally invasive percutaneous nephrolithotomy in treating upper urinary tract calculi of children.Methods：A total of 38 patients were diagnosed as upper urinary tract calculi.Patients were given B ultrasound guided work in holmium laser lithotripsy for the channel and treated with minimally invasive percutaneous nephrolithotomy.Results： 38 cases were successfully established a working channel period,which was a single channel,33 cases were removed the calculus,calculus removal rate was about 86.84%,operation time was 35~ 120 min,70 min on average.All of the patients were not given blood transfusion,without severe complication.Conclusion： B ultrasound guided minimally invasive percutaneous nephrolithotomy for treatment of children with upper urinary tract calculi is safe and effective,with less trauma,higher stone-free rate and faster postoperative recovery etc.